PFD Response Tracker

Prevention of Future Deaths

Total: 4,644 Responded: 4,644 No identified response (past 2 years): 0 Pending: 0

How statuses are calculated — 56-day deadline, Judiciary.UK data

Recipients have 56 days to respond under Regulation 28. We use the deadline stated in the report where available, otherwise we calculate it from the report date. We rely on Judiciary.UK for response data, so if a response has been provided but not yet published there, it may show incorrectly here. "No identified response", "Pending", and "Historic" only count reports where no response at all has been identified as published on Judiciary.UK. If at least one response has been published for a report, it counts as "Responded" — even if not every listed addressee has a separate published response. This is because addressee data from Judiciary.UK can be unreliable: address fragments, job titles, and redacted names are sometimes parsed as separate addressees, and a single response PDF may cover multiple parties. "Historic with no identified response" means we have not been able to identify a published response, but the report is more than two years old. We do not mark these as overdue or pending because older reports may well have received a response that was simply never made public. This is a neutral status indicating absence of an identified published record, not confirmed non-compliance.

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4,644 reports · Page 56 of 93

Date	Deceased	Addressee(s)	Status	Responses
16 Oct 2019	Victor Hall Ambiguous medication packaging contributed to an error, which the MHRA failed to address. There's a need for enhanced …	Salford Royal Hospital NHS Trust Nursing and Midwifery Council Medicines and Healthcare products Regulatory …	Partially Responded	1/3
15 Oct 2019	Derek Weaver Capacity limitations due to a surge in referrals delayed critical surgery, leading to a higher chance of death …	Department of Health and Social … Guys & St Thomas NHS … NHS England	All Responded	3/3
15 Oct 2019	Alex Malcolm Insufficient Approved Premises, delays in making MARACs statutory, and difficulties recruiting probation officers due to low pay are …	Department of Health and Social … HM Prison & Probation Service MOJ	Partially Responded	1/3
15 Oct 2019	Matthew Williamson Carers and family lack opportunities to provide vital information to mental health teams, and unclear inter-provider communication creates …	West London Mental Health Trust	All Responded	1/1
14 Oct 2019	Dev Naran Motorway management lacks automatic detection for stationary vehicles in live lanes, compounded by long gaps in emergency refuge …	Highways England	All Responded	1/1
10 Oct 2019	Abdeslam Benelghazi Concurrent prescribing of methadone with multiple sedative medications, particularly clonazepam, created a dangerous combined effect of central nervous …	Department of Health and Social …	All Responded	1/1
10 Oct 2019	Liane Davenport There is a need to consider and recommend routine blood level monitoring for patients on long-term, high-dose antipsychotics, …	North Cumbria University Hospitals NHS …	All Responded	1/1
9 Oct 2019	James Frankish Healthcare professionals lacked understanding of Pica's dangers, and there is no national guidance for its identification, assessment, management, …	Royal College of Paediatrics and … Royal College of Physicians National Autistic Society Royal College of Psychiatrists Chief Medical Officer for England Royal College of General Practitioners Royal College of Speech and … British Psychological Society	Partially Responded	1/8
9 Oct 2019	Emily Sims Care plans were not updated to reflect changing needs or multidisciplinary decisions. There was a lack of appropriate …	Antron Manor Care Home	All Responded	1/1
8 Oct 2019	Dylan Henty Risks included unsupervised bathing for residents with seizure risk, GP unawareness of critical issues like hoarding, failed medication …	Pentree Lodge Home	All Responded	1/1
8 Oct 2019	Mary Chapman The hospital's discharge policy is unclear regarding staff responsibilities and communication for critical post-discharge investigations. There's a lack …	Nuffield Health	All Responded	1/1
8 Oct 2019	Steffan Evans There are continuing concerns regarding the high volume and speed of traffic on the B5017, particularly at junctions, …	Staffordshire County Council	All Responded	1/1
7 Oct 2019	Alf Rewin No specific safety concerns were identifiable from the provided administrative text.	NHS Pathways	All Responded	1/1
4 Oct 2019	Jane Livingston Gateway assessors lacked full access to patient notes, risking incomplete assessments and treatment plans based on insufficient information.	ABMU Health Board	All Responded	1/1
4 Oct 2019	Pamela Evans Nurses had a fundamental misunderstanding of when to call the critical care outreach team, compounded by a lack …	Bedford Hospital NHS Trust	All Responded	1/1
2 Oct 2019	Philip Owen Challenges exist in safely releasing high-risk offenders after short custodial sentences, compounded by limited probation supervision and unclear …	MOJ	All Responded	1/1
2 Oct 2019	Richard Ridout A trauma call was not initiated despite clear indicators like a high-speed roll-over collision and high-force injury, leading …	Western Sussex Hospitals NHS Trust	All Responded	1/1
2 Oct 2019	Saeid Hedayat West Sussex County Council's drain clearance risk assessment was inadequate, failing to account for specific blockages and lacking …	West Sussex County Council	All Responded	1/1
30 Sep 2019	Ceara Thacker Professionals failed to discuss family involvement in care planning for a young adult with mental health issues. Additionally, …	NHS England	All Responded	1/1
30 Sep 2019	Julie Barrow The hospital failed to hold best interest meetings, implement a reasonable adjustments care plan, and communicate effectively, exacerbated …	Department of Health and Social …	All Responded	1/1
30 Sep 2019	Charles Williamson A shortage of appropriate neuro-rehabilitation beds in Greater Manchester is preventing early effective rehabilitation, increasing the risk of …	Department of Health and Social … Greater Manchester Health and Social … Mayor of Greater Manchester	All Responded	2/3
30 Sep 2019	Owen Carey The restaurant's allergen training was inadequate, notices on menus lacked prominence to trigger discussions, and menus failed to …	British Society for Allergy and … Byron Hamburgers Department of Environment Department of Health and Social … Food and Rural Affairs Food Standards Agency National Trading Standards Board	All Responded	4/7
30 Sep 2019	Amy Allan Critical information sharing failures between hospital departments, absence of pre-operative ECMO assessment and post-operative planning, conflicting extubation advice, …	Great Ormond Street Hospital NHS …	All Responded	1/1
27 Sep 2019	Anthony McCormack A severe shortage of mental health beds prevented necessary inpatient treatment, while an overstretched home treatment team lacked …	Birmingham and Solihull Mental Health …	All Responded	1/1
26 Sep 2019	John Shrosbree Persistent daily staff shortages in the Emergency Department are putting patients' lives at risk and require urgent attention.	Milton Keynes University Hospital	All Responded	1/1
25 Sep 2019	Patrick Bolster Network Rail failed to inspect a broken fence for over two years due to inadequate inspections, flawed dual-submission …	Network Rail	All Responded	1/1
25 Sep 2019	Ben Haddon-Cave Railway fence inspection failures, exacerbated by dense vegetation and inadequate viewing practices, alongside systemic flaws in dual inspection …	Network Rail	All Responded	1/1
24 Sep 2019	Muhammed Haleem The NWAS system contained outdated DNA-CPR guidance for paramedics, and communication between community paediatric teams and emergency services …	North west Ambulance Service Pennine Care NHS Trust	All Responded	2/2
24 Sep 2019	Rebecca Marshall The provided text is largely boilerplate and does not detail specific safety concerns beyond the general risk of …	Kent and Medway NHS and …	All Responded	1/1
24 Sep 2019	Francis Hodge Inadequate and incorrect post-surgery discharge advice led the patient to delay seeking critical medical attention, compounded by the …	University Hospital Lewisham	All Responded	1/1
24 Sep 2019	Daniel Williams Deficient fundamental nursing care on a general ward led to patient deterioration, exacerbated by a flawed C-diff infection …	St Thomas NHS Foundation Trust	All Responded	1/1
24 Sep 2019	Annette Hewins Inconsistent and inadequate nursing documentation for FACE records and NEWS charts, missed observations, ad hoc ECG request systems, …	Cwm Taf Morgannwg University Health …	All Responded	1/1
21 Sep 2019	Ricky Barcock The client wellbeing check protocol during sleep needs review to ensure effective physical checks and rousing clients, especially …	Oasis Recovery Communites Treatment Direct Limited	Partially Responded	1/2
19 Sep 2019	Ian Bromley The Home Treatment Team lacked a dedicated Consultant Psychiatrist, and interim psychiatric support via a rota system was …	Pennine Care NHS Trust	All Responded	1/1
18 Sep 2019	Graham Saffery The BNF, a key GP resource, lacks warnings for co-prescribing amitriptyline and oxycodone, despite other guidance recommending caution …	N.I.C.E	All Responded	1/1
17 Sep 2019	Jonathan Ball The HGV lacked warning devices, its driver was untrained to report hazards, and ineffective rear hazard lights made …	DAF Trucks Ltd Office of the Traffic Commissioner Road Haulage Association Whitelock Development	All Responded	4/4
17 Sep 2019	Tyla Cook Significant delays in accessing specialized services due to heavy caseloads, outdated written care plans despite family requests, and …	Norfolk and Suffolk NHS Trust West Norfolk Clinical Commissioning Group Norfolk County Council Queen Elizabeth Hospital	All Responded	4/4
16 Sep 2019	Blaithin Buckley An unexplained delay occurred in calling an ambulance to transfer a patient from a mental health setting during …	General Council	All Responded	1/1
16 Sep 2019	Arthur Jepson High resource pressure resulted in a missed two-hour review of an emergency call, preventing re-categorisation and potentially impacting …	Yorkshire Ambulance Service	All Responded	1/1
13 Sep 2019	Lucia Stear Other public authorities may have unaddressed safety issues similar to Wirral MBC's tree management, necessitating national learning and …	Communities & Local Government Department of Housing	All Responded	2/2
12 Sep 2019	William Oliver The ambulance service's rigid meal break policy reduced vehicle availability during peak demand, compounded by excessive hospital turnaround …	Blackpool Clinical Commissioning Group Department of Health and Social … North West Ambulance Service	All Responded	4/3
11 Sep 2019	Carl Schmidt The chemo-radiotherapy in a clinical trial potentially exposes patients to neurological damage, requiring further investigation into the mechanism …	University of Birmingham	All Responded	1/1
11 Sep 2019	Maureen Jarvis A psychiatric patient lacked a proper medical examination due to consent issues, highlighting the need for a clear, …	Midland Partnership NHS Trust	All Responded	1/1
10 Sep 2019	Gurdeep Singh Dundhal Systemic delays in mental health act assessments due to inter-agency confusion and resource shortages led to critical information …	Birmingham City Council Birmingham Women’s and Children’s NHS … Priory Group of Hospitals Walsall MBC	All Responded	3/4
6 Sep 2019	Shannon Quinn Multiple failures in multi-agency communication, inadequate staff training, and poor risk management regarding ligature use, patient observations, and …	Camino Healthcare Care Quality Commission Department of Health and Social … Solihull Mental Health Trust	Partially Responded	2/4
5 Sep 2019	Tillie Spencer-Adams Serious fractures and head injuries sustained in a road traffic collision were critically overlooked when the deceased attended …	East and North Hertfordshire NHS …	All Responded	1/1
4 Sep 2019	Imran Mahmood E-cigarettes in prison are being misused as heating devices for drug preparation, highlighting a significant safety risk related …	HM Prison and Probation Service	All Responded	1/1
29 Aug 2019	Michael Hoolickin No specific safety concerns or systemic failures were detailed beyond the general mention of "Serious Further Offence Reviews" …	National Police Chiefs’ Council Ministry of Justice National Probation Service Greater Manchester Police Lancashire Constabulary	All Responded	4/5
27 Aug 2019	Kim Morris A persistent lack of continuity in crisis mental health care, caused by under-resourcing and high demand, meant the …	Leicester NHS Trust	All Responded	1/1
27 Aug 2019	Kay Martin A perpetrator of domestic abuse was not subject to any police bail conditions or restrictions for over a …	Home Office	All Responded	1/1

Victor Hall

Partially Responded

16 Oct 2019 · Manchester (West) · 1/3 responses

Ambiguous medication packaging contributed to an error, which the MHRA failed to address. There's a need for enhanced guidance and training for nursing and pharmacy …

Salford Royal Hospital NHS … Nursing and Midwifery Council Medicines and Healthcare products …

Derek Weaver

All Responded

15 Oct 2019 · London Inner (South) · 3/3 responses

Capacity limitations due to a surge in referrals delayed critical surgery, leading to a higher chance of death due to sepsis. Insufficient resources and beds …

Department of Health and … Guys & St Thomas … NHS England

Alex Malcolm

Partially Responded

15 Oct 2019 · London Inner (South) · 1/3 responses

Insufficient Approved Premises, delays in making MARACs statutory, and difficulties recruiting probation officers due to low pay are systemic issues hindering efforts to prevent future …

Department of Health and … HM Prison & Probation … MOJ

Matthew Williamson

All Responded

15 Oct 2019 · London (West) · 1/1 responses

Carers and family lack opportunities to provide vital information to mental health teams, and unclear inter-provider communication creates difficulty navigating treatment pathways for patients.

West London Mental Health …

Dev Naran

All Responded

14 Oct 2019 · Birmingham and Solihull · 1/1 responses

Motorway management lacks automatic detection for stationary vehicles in live lanes, compounded by long gaps in emergency refuge areas and confusing signage on dynamic hard …

Highways England

Abdeslam Benelghazi

All Responded

10 Oct 2019 · Avon · 1/1 responses

Concurrent prescribing of methadone with multiple sedative medications, particularly clonazepam, created a dangerous combined effect of central nervous system and respiratory depression, significantly increasing the …

Department of Health and …

Liane Davenport

All Responded

10 Oct 2019 · Cumbria · 1/1 responses

There is a need to consider and recommend routine blood level monitoring for patients on long-term, high-dose antipsychotics, especially for older and frailer individuals.

North Cumbria University Hospitals …

James Frankish

Partially Responded

9 Oct 2019 · Nottinghamshire · 1/8 responses

Healthcare professionals lacked understanding of Pica's dangers, and there is no national guidance for its identification, assessment, management, or monitoring for complications like bezoars.

Royal College of Paediatrics … Royal College of Physicians National Autistic Society Royal College of Psychiatrists Chief Medical Officer for … Royal College of General … Royal College of Speech … British Psychological Society

Emily Sims

All Responded

9 Oct 2019 · Cornwall and the Isles of Scilly · 1/1 responses

Care plans were not updated to reflect changing needs or multidisciplinary decisions. There was a lack of appropriate equipment, specialist advice, and staff training in …

Antron Manor Care Home

Dylan Henty

All Responded

8 Oct 2019 · Cornwall and the Isles of Scilly · 1/1 responses

Risks included unsupervised bathing for residents with seizure risk, GP unawareness of critical issues like hoarding, failed medication compliance systems, and inconsistent reporting/monitoring for absconding …

Pentree Lodge Home

Mary Chapman

All Responded

8 Oct 2019 · Cheshire · 1/1 responses

The hospital's discharge policy is unclear regarding staff responsibilities and communication for critical post-discharge investigations. There's a lack of evidence that new procedures or multidisciplinary …

Nuffield Health

Steffan Evans

All Responded

8 Oct 2019 · Staffordshire South · 1/1 responses

There are continuing concerns regarding the high volume and speed of traffic on the B5017, particularly at junctions, warranting a further review to improve road …

Staffordshire County Council

Alf Rewin

All Responded

7 Oct 2019 · Buckinghamshire · 1/1 responses

No specific safety concerns were identifiable from the provided administrative text.

NHS Pathways

Jane Livingston

All Responded

4 Oct 2019 · Swansea Neath & Port Talbot · 1/1 responses

Gateway assessors lacked full access to patient notes, risking incomplete assessments and treatment plans based on insufficient information.

ABMU Health Board

Pamela Evans

All Responded

4 Oct 2019 · Bedfordshire and Luton · 1/1 responses

Nurses had a fundamental misunderstanding of when to call the critical care outreach team, compounded by a lack of audit, limited CCOT authority, incorrect NEWS …

Bedford Hospital NHS Trust

Philip Owen

All Responded

2 Oct 2019 · Manchester (South) · 1/1 responses

Challenges exist in safely releasing high-risk offenders after short custodial sentences, compounded by limited probation supervision and unclear communication of risks or guidance to sentencing …

MOJ

Richard Ridout

All Responded

2 Oct 2019 · West Sussex · 1/1 responses

A trauma call was not initiated despite clear indicators like a high-speed roll-over collision and high-force injury, leading to a failure to carry out a …

Western Sussex Hospitals NHS …

Saeid Hedayat

All Responded

2 Oct 2019 · West Sussex · 1/1 responses

West Sussex County Council's drain clearance risk assessment was inadequate, failing to account for specific blockages and lacking regular review or warning signs for known …

West Sussex County Council

Ceara Thacker

All Responded

30 Sep 2019 · Liverpool and Wirral · 1/1 responses

Professionals failed to discuss family involvement in care planning for a young adult with mental health issues. Additionally, the residential advisor lacked training on safe …

NHS England

Julie Barrow

All Responded

30 Sep 2019 · Manchester (South) · 1/1 responses

The hospital failed to hold best interest meetings, implement a reasonable adjustments care plan, and communicate effectively, exacerbated by poor staff awareness and loss of …

Department of Health and …

Charles Williamson

All Responded

30 Sep 2019 · Manchester (South) · 2/3 responses

A shortage of appropriate neuro-rehabilitation beds in Greater Manchester is preventing early effective rehabilitation, increasing the risk of complications and death.

Department of Health and … Greater Manchester Health and … Mayor of Greater Manchester

Owen Carey

All Responded

30 Sep 2019 · London Inner (South) · 4/7 responses

The restaurant's allergen training was inadequate, notices on menus lacked prominence to trigger discussions, and menus failed to clearly state key allergen information, creating false …

British Society for Allergy … Byron Hamburgers Department of Environment Department of Health and … Food and Rural Affairs Food Standards Agency National Trading Standards Board

Amy Allan

All Responded

30 Sep 2019 · London Inner (North) · 1/1 responses

Critical information sharing failures between hospital departments, absence of pre-operative ECMO assessment and post-operative planning, conflicting extubation advice, and delayed ECMO commencement critically compromised patient …

Great Ormond Street Hospital …

Anthony McCormack

All Responded

27 Sep 2019 · Birmingham and Solihull · 1/1 responses

A severe shortage of mental health beds prevented necessary inpatient treatment, while an overstretched home treatment team lacked resources for adequate patient assessment and monitoring.

Birmingham and Solihull Mental …

John Shrosbree

All Responded

26 Sep 2019 · Milton Keynes · 1/1 responses

Persistent daily staff shortages in the Emergency Department are putting patients' lives at risk and require urgent attention.

Milton Keynes University Hospital

Patrick Bolster

All Responded

25 Sep 2019 · London Inner (North) · 1/1 responses

Network Rail failed to inspect a broken fence for over two years due to inadequate inspections, flawed dual-submission reporting, and an insufficient internal investigation into …

Network Rail

Ben Haddon-Cave

All Responded

25 Sep 2019 · London Inner (North) · 1/1 responses

Railway fence inspection failures, exacerbated by dense vegetation and inadequate viewing practices, alongside systemic flaws in dual inspection reporting, led to a lack of oversight …

Network Rail

Muhammed Haleem

All Responded

24 Sep 2019 · Manchester (North) · 2/2 responses

The NWAS system contained outdated DNA-CPR guidance for paramedics, and communication between community paediatric teams and emergency services regarding advance care plans was insufficient.

North west Ambulance Service Pennine Care NHS Trust

Rebecca Marshall

All Responded

24 Sep 2019 · London Inner (South) · 1/1 responses

The provided text is largely boilerplate and does not detail specific safety concerns beyond the general risk of future deaths related to hospital and mental …

Kent and Medway NHS …

Francis Hodge

All Responded

24 Sep 2019 · London Inner (South) · 1/1 responses

Inadequate and incorrect post-surgery discharge advice led the patient to delay seeking critical medical attention, compounded by the absence of a patient information leaflet.

University Hospital Lewisham

Daniel Williams

All Responded

24 Sep 2019 · London Inner (South) · 1/1 responses

Deficient fundamental nursing care on a general ward led to patient deterioration, exacerbated by a flawed C-diff infection investigation process that failed to examine initial …

St Thomas NHS Foundation …

Annette Hewins

All Responded

24 Sep 2019 · South Wales Central · 1/1 responses

Inconsistent and inadequate nursing documentation for FACE records and NEWS charts, missed observations, ad hoc ECG request systems, and poor detail in patient observation charts …

Cwm Taf Morgannwg University …

Ricky Barcock

Partially Responded

21 Sep 2019 · West Yorkshire (West) · 1/2 responses

The client wellbeing check protocol during sleep needs review to ensure effective physical checks and rousing clients, especially drug users, to properly monitor their wellbeing.

Oasis Recovery Communites Treatment Direct Limited

Ian Bromley

All Responded

19 Sep 2019 · Manchester (South) · 1/1 responses

The Home Treatment Team lacked a dedicated Consultant Psychiatrist, and interim psychiatric support via a rota system was inconsistently effective due to varying individual approaches …

Pennine Care NHS Trust

Graham Saffery

All Responded

18 Sep 2019 · Bedfordshire & Luton · 1/1 responses

The BNF, a key GP resource, lacks warnings for co-prescribing amitriptyline and oxycodone, despite other guidance recommending caution and monitoring for this interaction.

N.I.C.E

Jonathan Ball

All Responded

17 Sep 2019 · West Yorkshire (East) · 4/4 responses

The HGV lacked warning devices, its driver was untrained to report hazards, and ineffective rear hazard lights made the stranded vehicle dangerously inconspicuous, increasing collision …

DAF Trucks Ltd Office of the Traffic … Road Haulage Association Whitelock Development

Tyla Cook

All Responded

17 Sep 2019 · Norfolk · 4/4 responses

Significant delays in accessing specialized services due to heavy caseloads, outdated written care plans despite family requests, and a failure to implement crucial multi-disciplinary emergency …

Norfolk and Suffolk NHS … West Norfolk Clinical Commissioning … Norfolk County Council Queen Elizabeth Hospital

Blaithin Buckley

All Responded

16 Sep 2019 · Northamptonshire · 1/1 responses

An unexplained delay occurred in calling an ambulance to transfer a patient from a mental health setting during a medical emergency, with unclear policies regarding …

General Council

Arthur Jepson

All Responded

16 Sep 2019 · South Yorkshire (West) · 1/1 responses

High resource pressure resulted in a missed two-hour review of an emergency call, preventing re-categorisation and potentially impacting outcomes in future cases.

Yorkshire Ambulance Service

Lucia Stear

All Responded

13 Sep 2019 · Liverpool and Wirral · 2/2 responses

Other public authorities may have unaddressed safety issues similar to Wirral MBC's tree management, necessitating national learning and action from the tragic death.

Communities & Local Government Department of Housing

William Oliver

All Responded

12 Sep 2019 · Manchester (North) · 4/3 responses

The ambulance service's rigid meal break policy reduced vehicle availability during peak demand, compounded by excessive hospital turnaround times, leading to significant delays.

Blackpool Clinical Commissioning Group Department of Health and … North West Ambulance Service

Carl Schmidt

All Responded

11 Sep 2019 · West Yorkshire (East) · 1/1 responses

The chemo-radiotherapy in a clinical trial potentially exposes patients to neurological damage, requiring further investigation into the mechanism of injury.

University of Birmingham

Maureen Jarvis

All Responded

11 Sep 2019 · Staffordshire South · 1/1 responses

A psychiatric patient lacked a proper medical examination due to consent issues, highlighting the need for a clear, disseminated policy on physical health examinations for …

Midland Partnership NHS Trust

Gurdeep Singh Dundhal

All Responded

10 Sep 2019 · Birmingham and Solihull · 3/4 responses

Systemic delays in mental health act assessments due to inter-agency confusion and resource shortages led to critical information being missed and the incorrect legal framework …

Birmingham City Council Birmingham Women’s and Children’s … Priory Group of Hospitals Walsall MBC

Shannon Quinn

Partially Responded

6 Sep 2019 · Black Country · 2/4 responses

Multiple failures in multi-agency communication, inadequate staff training, and poor risk management regarding ligature use, patient observations, and resuscitation significantly compromised care for a patient …

Camino Healthcare Care Quality Commission Department of Health and … Solihull Mental Health Trust

Tillie Spencer-Adams

All Responded

5 Sep 2019 · Hertfordshire · 1/1 responses

Serious fractures and head injuries sustained in a road traffic collision were critically overlooked when the deceased attended the hospital.

East and North Hertfordshire …

Imran Mahmood

All Responded

4 Sep 2019 · Staffordshire South · 1/1 responses

E-cigarettes in prison are being misused as heating devices for drug preparation, highlighting a significant safety risk related to both illicit drug use and potential …

HM Prison and Probation …

Michael Hoolickin

All Responded

29 Aug 2019 · Manchester (North) · 4/5 responses

No specific safety concerns or systemic failures were detailed beyond the general mention of "Serious Further Offence Reviews" needing to be conducted.

National Police Chiefs’ Council Ministry of Justice National Probation Service Greater Manchester Police Lancashire Constabulary

Kim Morris

All Responded

27 Aug 2019 · Leicester City and Leicestershire · 1/1 responses

A persistent lack of continuity in crisis mental health care, caused by under-resourcing and high demand, meant the patient repeatedly had to recount their story, …

Leicester NHS Trust

Kay Martin

All Responded

27 Aug 2019 · Sunderland · 1/1 responses

A perpetrator of domestic abuse was not subject to any police bail conditions or restrictions for over a month, leaving the victim unprotected and at …

Home Office